SHOCKWAVE THERAPY The only non-invasive alternative to surgery in treatment of chronic pain.

SHOCKWAVE THERAPY Are you an orthopaedist, physical and rehabilitation medicine specialist or physiotherapist? Do you want to treat patients who: Suffer from chronic pain? Are not a suitable candidate for surgical intervention? Are looking for a non-invasive and side-effect free form of pain management? BTL provides you and your patients with a whole new formula for chronic pain – SHOCKWAVE THERAPY!

shockwave therapy SHOCKWAVE THERAPY is the only non-invasive alternative to surgery treating both the cause and symptoms of chronic pain. The only procedure that addresses the impaired tissue through deep cell stimulation resulting in tissue regeneration and healing. • The first choice in the treatment of chronic pain of the musculoskeletal system, calcifications and impaired tendons or bone nonunions. • Expanding your addressable patient population who — have joint and tendon pain — are not candidates for surgical intervention — are looking for a non-invasive treatment alternative, without drugs...

hock waves spread S through the tissue and reach the impaired area. Shock waves are transient acoustic waves which have the unique ability to transmit high energy to painful spots of the myoskeletal system. 2nd Shock waves cause cell stimulation and growth factor release. Cells proliferate and differentiate. • The high energy shock waves were originally used to disintegrate the tissue, such as treatment of kidney stones. • Over the last 10 years, SHOCKWAVE THERAPY gained its popularity in the treatment of chronic issues of the musculoskeletal system and is supported by many clinical studies presenting...

MEDICAL EFFECTS AND INDICATIONS The most common SHOCKWAVE THERAPY applications are treatment of chronic musculoskeletal pain resulting from tendinopathies, trigger points, elimination of calcifications and stimulation of bone nonunions. BEFORE AFTER SHOCKWAVE THERAPY AFTER SHOCKWAVE THERAPY PATELLAR TENDINOPATHY, COURTESY OF AZAEL A. FLORES SALINAS, M.D. SHOULDER CALCIFICATION, COURTESY OF: BTL CHRONIC PAIN RELIEF REPAIR OF DAMAGED TISSUE Due to mechanical stimulation of thick nerve fibres, SHOCKWAVE THERAPY relieves pain through Gate Control Theory as well as decreases the level of substance...

DIFFERENT SHOCKWAVE THERAPIES A single piezoelectric crystal Did you know that FOCUSED and RADIAL SHOCKWAVE THERAPY have the same medical effect, but differ from the technical aspect as well as clinical indications? FOCUSED SHOCKWAVE is based on electroacoustic principles. Inside of the applicator, there is a complex consisting of the single piezoelectric crystal and an electroacoustic lens. High voltage The device creates a high voltage which deforms the crystal and creates an acoustic pressure wave. The wave is then shaped convergently and spreads through the patient’s body. RADIAL SHOCKWAVE...

PARAMETERS FOCUSED SHOCKWAVE THERAPY RADIAL SHOCKWAVE THERAPY • Intensity is expressed by Energy Flux Density (EFD) • Intensity is expressed by pressure and defined in Bars • A typical session applies between 1000-3000 shocks • Typically, a session applies 4000-6000 shocks • The depth of penetration is adjusted according to the impaired tissue by using only 3 coupling pads • The energy distribution, as well as the intensity of the shocks, can be changed by using different transmitters Penetration depth 30-65 mm Penetration depth 15-50 mm Penetration depth 0-35 mm 15 mm steel focused transmitter...

THERAPY PROCEDURE FOCUSED SHOCKWAVE THERAPY RADIAL SHOCKWAVE THERAPY Choose a suitable coupling pad Apply gel on the lens surface Apply gel in the treated area Initiate the therapy with low intensity THERAPY TECHNIQUES Use the “swiveling” technique to treat the most painful spot. Choose a suitable transmitter Apply gel in the treated area THERAPY TECHNIQUES the “painting” technique to treat 2nd Use surrounding of the most painful spot. Use the “painting” technique around the most painful spot. the “swiveling” technique to 2nd Use treat the most painful spot.

RADIAL SHOCKWAVE THERAPY FOCUSED SHOCKWAVE THERAPY Technology Applicator • A whole new patented electroacoustic technology • Intelligent applicator with continuous monitoring of shock • The only technology offering the highest lifespan of intensity and touch screen display 3 million shocks with c°nstant mtensffy • Adjusting parameters directly from the applicator display Technology Therapy • The strongest portable radial SHOCKWAVE weighing only 7 kg • Wide range of transmitters for different indications • 2 million shocks lifespan Additional features • The perfect balance between high Energy...

focused shockwave therapy clinically tested in independent studies eswt compared with surgery swt for chronic plantar eswt promotes cell proliferation for hypertrophic long-bone fasciitis in running and collagen synthesis of primary nonunions athletes cultured human tenocytes Department of Physical Medicine and Rehabilitation; Division of Orthopaedic Surgery, Department of Surgery, ''San Salvatore” Hospital of Vaquila; Physical Medicine and Rehabilitation Centre, Nomentana Hospital, Rome; Department of Physical Medicine and Rehabilitation, School of Medicine, "La Sapienza” University, Rome, Italy...

RADIAL SHOCKWAVE THERAPY CLINICALLY TESTED IN INDEPENDENT STUDIES ESWT IN THE TREATMENT OF CHRONIC PLANTAR FASCIITIS EFFECT OF RSWT ON PAIN AND MUSCLE HYPERTONIA IN MULTIPLE SCLEROSIS CHRONIC PLANTAR FASCIITIS TREATED WITH TWO SESSIONS OF RSWT EXTRACORPOREAL SHOCKWAVE THERAPY IN THE TREATMENT OF CHRONIC PLANTAR FASCIITIS EFFECT OF RADIAL SHOCKWAVE THERAPY ON PAIN AND MUSCLE HYPERTONIA: A DOUBLE-BLIND STUDY IN PATIENTS WITH MULTIPLE SCLEROSIS CHRONIC PLANTAR FASCIITIS TREATED WITH TWO SESSIONS OF RADIAL EXTRACORPOREAL SHOCKWAVE THERAPY Husseiny M. Rheumatology & Rehabilitation Department, Faculty...